… And that's just the start of this insane paper: "Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations (2010)" http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2905311/#!po=45.8333 Since Alegria defines CFS as Somatization, this present paper on somatization is extremely relevant. http://forums.phoenixrising.me/inde...-a-neurasthenia-spectrum-disorder-2012.27107/ Here are the 6 big problems I found with this paper. All six statements are absolutely ludicrous: (1) "Proposes the use of 3+ current General Physical Symptoms for designating a 'case'" of somatization; (2) They claim their finding that "Medically Unexplained Physical Symptoms were not independently associated with psychopathology" logically leads one to their above conclusion (that 3 physical symptoms = somatization) (3) In this study, they count a physical symptom as being definitely "medically unexplained" if the patient said their doctor didn't mention the cause; (4) They say the fact that they found a high prevalence of physical symptoms (which were overwhelmingly 'medically explained') in the general population, "strongly supports the observation of many previous studies in the US and abroad that have shown that somatic symptoms represent a common expression of psychopathology…" (for the 'previous studies' they cite Wessely and Sharpe on CFS and the other "functional somatic syndromes" as being a single somatization disorder here; http://www.simonwessely.com/Downloads/Publications/CFS/108.pdf ) (5) Also prominently concludes that "physical symptoms are an important component of common mental disorders" dispite admitting in a much less prominent section that physical symptoms could well cause mental disorders and other alternative explanations exist for the co-occurance of physical symptoms and mental disorders; (6) "Several investigators have suggested that it may be unnecessary to go through all the probes and procedures to rule out medical explanations given the stepwise association between somatic symptoms and common mental disorders such as anxiety and depression in primary care." In context, this statement seems to be saying that in studies of somatization, one should just assume that all physical symptoms in the general population are caused by mental disorders. The following is all that Jennie Spotila and company had to say about this paper on Occupycfs.com: "As we mentioned in our profile of Dr. Alegria, she has co-authored three publications potentially relevant to her views on ME/CFS. The first two (here and here) address the relationship between somatic symptoms and psychiatric disorders like depression. Only 14 symptoms were assessed in these papers, and fatigue was not one of them. The papers found that having 3 or more of the 14 symptoms was associated with depression/anxiety and mental health service use. However, one of the papers correctly noted that the data are ill suited to infer causality between the physical symptoms and mental health issues." Since all six of the above points made by Alegria are completely nonsensical and harmful statements about somatization, this paper alone is evidence enough, never mind her worse paper stating that CFS = the psychiatric illness Neurasthenia, that it is absolutely unacceptable to have Alegria on the IoM panel.